The 4 Point Inspection Form is a crucial document used to assess the condition of key systems in a property, including the roof, electrical, HVAC, and plumbing systems. This form must be completed by a Florida-licensed inspector, who certifies that each system is functioning properly and identifies any visible hazards or deficiencies. To ensure a smooth insurance application process, fill out the form by clicking the button below.
When it comes to ensuring the safety and insurability of a property, the 4 Point Inspection form plays a crucial role. This form provides a comprehensive assessment of four essential systems: the roof, electrical, HVAC, and plumbing. Each section requires detailed information about the condition of these systems, including their age, any visible hazards, and whether they are functioning properly. For example, the electrical section delves into the main panel's condition and identifies any risks such as aluminum wiring or improper grounding. The HVAC portion evaluates whether the heating and cooling systems are in good working order and notes any potential issues. Similarly, the plumbing section checks for leaks and the overall state of fixtures, while the roof assessment examines its material, age, and any signs of damage. Accompanying photographs are mandatory to support the findings, ensuring that the inspection is thorough and transparent. Importantly, only a Florida-licensed inspector can complete and sign this form, emphasizing the need for professional oversight in the evaluation process. Ultimately, this form serves as a vital tool for insurance underwriting, helping to determine the insurability of a property while not guaranteeing the systems' long-term performance.
4-Point Inspection Form
Insured/Applicant Name:_________________________________________________ Application / Policy #:__________________________
Address Inspected:___________________________________________________________________________________________________
Actual Year Built:________________________
Date Inspected: ______________________________________________
Minimum Photo Requirements:
Dwelling: Each side
Roof: Each slope
Plumbing: Water heater, under cabinet plumbing/drains, exposed valves
Main electrical service panel with interior door label
Electrical box with panel off
All hazards or deficiencies noted in this report
A Florida-licensed inspector must complete, sign and date this form.
Be advised that Underwriting will rely on the information in this sample form, or a similar form, that is obtained from the Florida licensed professional of your choice. This information only is used to determine insurability and is not a warranty or assurance of the suitability, fitness or longevity of any of the systems inspected.
Electrical System
Separate documentation of any aluminum wiring remediation must be provided and certified by a licensed electrician.
Main Panel
Second Panel
Type:
Circuit breaker
Fuse
Circuit breaker Fuse
Total Amps: __________
Is amperage sufficient for current usage?
Yes No (explain)
Indicate presence of any of the following:
Cloth wiring
Active knob and tube
Branch circuit aluminum wiring (If present, describe the usage of all aluminum wiring):
* If single strand (aluminum branch) wiring, provide details of all remediation. Separate documentation of all work must be provided.
Connections repaired via COPALUM crimp Connections repaired via AlumiConn
Hazards Present
Double taps
Blowing fuses
Exposed wiring
Tripping breakers
Unsafe wiring
Empty sockets
Improper breaker size
Loose wiring
Scorching
Improper grounding
Other (explain)
Corrosion
Over fusing
General condition of the electrical system:
Satisfactory
Unsatisfactory (explain)
Supplemental information
Wiring Type
Panel age: __________
Copper
Year last updated: __________
Year last updated:__________
NM, BX or Conduit
Brand/Model: __________
Sample Form Insp4pt 01 18
HVAC System
Central AC:
Yes
No
Central heat:
If not central heat, indicate primary heat source and fuel type: _________________________________
Are the heating, ventilation and air conditioning systems in good working order?
No (explain)
Date of last HVAC servicing/inspection: ______________
Wood-burning stove or central gas fireplace not professionally installed?
Space heater used as primary heat source?
Is the source portable?
Does the air handler/condensate line or drain pan show any signs of blockage or leakage, including water damage to the surrounding area?
Yes No
Supplemental Information
Age of system: _____________
Year last updated: _____________
(Please attach photo(s) of HVAC equipment, including dated manufacturer’s plate)
Plumbing System
Is there a temperature pressure relief valve on the water heater?
Is there any indication of an active leak?
Is there any indication of a prior leak?
Water heater location: _______________________________________________
General condition of the following plumbing fixtures and connections to appliances:
Satisfactory Unsatisfactory
N/A
Dishwasher
Toilets
Refrigerator
Sinks
Washing machine
Sump pump
Water heater
Main shut off valve
Showers/Tubs
All other visible
If unsatisfactory, please provide comments/details (leaks, wet/soft spots, mold, corrosion, grout/caulk, etc.).
Age of Piping System:
Type of pipes (check all that apply)
_____
Original to home
Completely re-piped
PVC/CPVC
Partially re-piped
Galvanized
(Provide year and extent of renovation in the comments below)
PEX
Polybutylene
Other (specify)
Roof (With photos of each roof slope, this section can take the place of the Roof Inspection Form.)
Predominant Roof
Covering material: __________
Roof age (years): __________
Remaining useful life (years): __________
Date of last roofing permit: __________
Date of last update: __________
If updated (check one):
Full replacement Partial replacement
%of replacement: __________
Overall condition:
Unsatisfactory (explain below)
Any visible signs of damage / deterioration?
(check all that apply and explain below)
Cracking
Cupping/curling
Excessive granule loss
Exposed asphalt
Exposed felt
Missing/loose/cracked tabs or tiles
Soft spots in decking Visible hail damage
Any visible signs of leaks? Yes No
Attic/underside of decking Yes No
Interior ceilings Yes No
Secondary Roof
Additional Comments/Observations (use additional pages if needed):
All 4-Point Inspection Forms must be completed and signed by a verifiable Florida-licensed inspector. I certify that the above statements are true and correct.
Inspector Signature
Title
License Number
Date
Company Name
License Type
Work Phone
Special Instructions: This sample 4-Point Inspection Form includes the minimum data needed for Underwriting to properly evaluate a property application. While this specific form is not required, any other inspection report submitted for consideration must include at least this level of detail to be acceptable.
Photo Requirements
Photos must accompany each 4-Point Inspection Form. The minimum photo requirements include:
•Dwelling: Each side
•Roof: Each slope
•Plumbing: Water heater, under cabinet plumbing/drains, exposed valves
•Open main electrical panel and interior door
•Electrical box with the panel off
•All hazards or deficiencies
Inspector Requirements
To be accepted, all inspection forms must be completed, signed and dated by a verifiable Florida-licensed professional. Examples include:
•A general, residential, or building contractor
•A building code inspector
•A home inspector
Note: A trade-specific, licensed professional may sign off only on the inspection form section for their trade. (e.g., an electrician may sign off only on the electrical section of the form.)
Documenting the Condition of Each System
The Florida-licensed inspector is required to certify the condition of the roof, electrical, HVAC and plumbing systems. Acceptable Condition means that each system is working as intended and there are no visible hazards or deficiencies.
Additional Comments or Observations
This section of the 4-Point Inspection Form must be completed with full details/descriptions if any of the following are noted on the inspection:
•Updates: Identify the types of updates, dates completed and by whom
•Any visible hazards or deficiencies
•Any system determined not to be in good working order
Note to All Agents
The writing agent must review each 4-Point Inspection Form before it is submitted with an application for coverage. It is the agent’s responsibility to ensure that all rules and requirements are met before the application is bound. Agents may not submit applications for properties with electrical, heating or plumbing systems not in good working order or with existing hazards/deficiencies.
Completing the 4 Point Inspection form is a crucial step in assessing the condition of a property for insurance purposes. After filling out the form, it will need to be reviewed and signed by a licensed inspector to ensure accuracy and compliance with state regulations.
Once the form is completed, it is essential to ensure that all required photos are attached and that the inspector's details are accurate. This will help facilitate the underwriting process for insurance coverage.
What is a 4 Point Inspection Form?
The 4 Point Inspection Form is a document used primarily in Florida to assess the condition of four major systems in a residential property: the roof, electrical system, HVAC (heating, ventilation, and air conditioning), and plumbing. This inspection is often required by insurance companies to determine the insurability of a property. The form must be completed by a licensed inspector who will evaluate each system and note any hazards or deficiencies present.
Who can complete the 4 Point Inspection?
A Florida-licensed inspector must complete the 4 Point Inspection Form. Acceptable professionals include general contractors, residential contractors, building code inspectors, and home inspectors. It's important to note that a trade-specific professional, such as an electrician, can only certify the section relevant to their expertise.
What information is required on the form?
The form requires specific information about the property, including the insured/applicant's name, application or policy number, address, year built, and date of inspection. Additionally, the inspector must provide details about each of the four systems, including their condition, any visible hazards, and supplemental information such as the age of the systems and any updates made.
What are the minimum photo requirements?
To accompany the 4 Point Inspection Form, photos must be provided for each side of the dwelling, each slope of the roof, and key plumbing components such as the water heater and exposed valves. Photos of the main electrical panel and any noted hazards or deficiencies are also required. These images help to visually document the condition of the property.
What happens if a system is found to be unsatisfactory?
If any system is deemed unsatisfactory, the inspector must provide detailed comments explaining the issues. This could include signs of leaks, corrosion, or other hazards. Such findings can affect the insurability of the property, as insurance companies often require that all systems be in good working order before issuing a policy.
How is the information on the form used?
The information collected on the 4 Point Inspection Form is used by insurance underwriters to evaluate the risk associated with insuring the property. It helps them determine whether to offer coverage and under what terms. However, it is important to understand that this inspection does not serve as a warranty or guarantee regarding the longevity or fitness of the systems inspected.
What should I do if my property has deficiencies?
If deficiencies are noted during the inspection, it is advisable to address them promptly. This may involve repairs or upgrades to the systems in question. Once the issues are resolved, a follow-up inspection may be necessary to provide updated documentation for the insurance application.
Can I use a different inspection form?
While the 4 Point Inspection Form provided is a sample, other inspection reports can be submitted as long as they contain at least the same level of detail. The key is to ensure that any alternative form meets the minimum requirements set by the insurance company and is completed by a licensed inspector.
What are the responsibilities of the writing agent?
The writing agent plays a crucial role in the application process. They must review each 4 Point Inspection Form before submission to ensure that all requirements are met. If any systems are not in good working order or if there are existing hazards, the agent cannot submit the application for coverage.
Completing the 4 Point Inspection form accurately is crucial for ensuring your property is properly assessed for insurance purposes. However, many people make common mistakes that can lead to complications. One frequent error is failing to provide the insured/applicant name or the application/policy number. These fields are essential for identifying the property and the policy in question. Without this information, the form may be deemed incomplete.
Another mistake is neglecting to include the actual year built of the property. This detail helps underwriters evaluate the property's condition and potential risks. Additionally, some individuals forget to check the required photo documentation. Each side of the dwelling and every slope of the roof must be documented. Missing photos can delay the underwriting process or result in a denial of coverage.
People often overlook the importance of clearly indicating the condition of each system. For instance, marking the electrical system as “satisfactory” without further explanation can lead to misunderstandings. If there are any deficiencies, they should be detailed in the comments section. This transparency helps avoid future disputes.
In the HVAC section, some applicants mistakenly fail to indicate whether the systems are in good working order. This is a critical piece of information that affects insurability. Furthermore, not providing the age of the HVAC system can lead to additional questions from underwriters, causing unnecessary delays.
Another common oversight occurs in the plumbing section. Individuals may forget to specify if there is a temperature pressure relief valve on the water heater or if there are indications of leaks. These details are vital for assessing the plumbing's safety and functionality. Additionally, failing to list the type of pipes used can raise red flags during the review process.
Many also skip the section on roof conditions, neglecting to describe any visible damage or deterioration. This includes signs like cracking or excessive granule loss. Noting these issues can significantly impact the insurance decision, so it is essential to be thorough.
Lastly, some individuals do not ensure that the form is signed and dated by a Florida-licensed inspector. This is a mandatory requirement. Without a proper signature, the form will not be accepted, which could jeopardize the entire application process.
By avoiding these common mistakes, you can ensure that your 4 Point Inspection form is complete and accurate, helping to facilitate a smoother underwriting process.
The 4-Point Inspection form is a crucial document used to evaluate the condition of a property’s major systems: roof, electrical, HVAC, and plumbing. Alongside this form, several other documents may be necessary to provide a comprehensive assessment. The following list outlines these additional forms and documents, each serving a specific purpose in the inspection and underwriting process.
Collectively, these documents support the evaluation process, helping to ensure that properties meet safety and insurability standards. Accurate and thorough documentation is essential for a smooth underwriting experience and to protect the interests of all parties involved.
Home Inspection Report: Similar to the 4-Point Inspection Form, a home inspection report assesses the overall condition of a property, covering systems like plumbing, electrical, and HVAC. Both documents aim to identify potential issues before a sale or insurance application.
Roof Inspection Report: This document focuses specifically on the roof's condition, much like the roof section of the 4-Point Inspection. It includes details on age, materials, and any visible damage, ensuring that the roof is safe and functional.
Electrical Inspection Report: An electrical inspection report evaluates the electrical systems in a home, similar to the electrical section of the 4-Point Inspection. It identifies hazards, compliance with codes, and the overall safety of the electrical setup.
HVAC Inspection Report: This report reviews heating, ventilation, and air conditioning systems, paralleling the HVAC section of the 4-Point Inspection. It assesses system performance and identifies any maintenance needs.
Plumbing Inspection Report: Like the plumbing section of the 4-Point Inspection, this report examines pipes, fixtures, and potential leaks, ensuring the plumbing system is in good working order.
Insurance Underwriting Report: This document evaluates a property’s insurability, similar to how the 4-Point Inspection informs underwriting decisions. Both aim to identify risks associated with insuring a property.
Property Condition Assessment: A broader evaluation of a property's condition, this assessment includes various systems and components, much like the comprehensive nature of the 4-Point Inspection.
Real Estate Appraisal Report: While primarily focused on property value, an appraisal often includes observations about the condition of major systems, akin to the 4-Point Inspection's focus on safety and functionality.
Code Compliance Inspection Report: This report checks if a property meets local building codes, similar to how the 4-Point Inspection ensures that systems are safe and compliant with regulations.
Environmental Inspection Report: This document assesses environmental hazards, like mold or lead, which can affect insurability and safety, much like the hazard identification in the 4-Point Inspection.
When filling out the 4 Point Inspection form, it’s important to ensure accuracy and completeness. Here are ten essential dos and don’ts to guide you through the process:
Misconception 1: The 4-Point Inspection form guarantees insurance coverage.
In reality, the form is merely a tool used by underwriters to assess the insurability of a property. It does not serve as a warranty or guarantee of coverage.
Misconception 2: Any inspector can complete the 4-Point Inspection form.
Only a Florida-licensed inspector is authorized to fill out and sign this form. This requirement ensures that the inspection meets state standards and regulations.
Misconception 3: The 4-Point Inspection form covers all aspects of home safety.
The form specifically focuses on four key systems: electrical, HVAC, plumbing, and roofing. Other safety aspects, such as structural integrity, are not addressed.
Misconception 4: The presence of hazards on the form automatically disqualifies a property from insurance.
While hazards are significant factors in the underwriting process, they do not necessarily lead to an automatic denial. Each case is evaluated on its individual merits.
Misconception 5: Photos are optional when submitting the 4-Point Inspection form.
Photos are mandatory. They must accompany the form to provide visual evidence of the conditions reported, ensuring a thorough evaluation by underwriters.
Ensure that the 4 Point Inspection Form is filled out completely, including the insured/applicant name, application/policy number, and address inspected.
Document the actual year built and date inspected accurately to provide essential context for the property.
Include all required photos as specified, such as images of each side of the dwelling, each slope of the roof, and key plumbing and electrical components.
Have a Florida-licensed inspector complete, sign, and date the form, as Underwriting will rely on this information for assessing insurability.
Clearly indicate any hazards or deficiencies found during the inspection, including details about electrical, HVAC, plumbing, and roofing systems.
Use the section for additional comments to provide thorough descriptions of any updates, visible hazards, or systems that are not functioning properly.
Review the completed form thoroughly before submission to ensure compliance with all rules and requirements, as incomplete or incorrect forms may delay the application process.